Adverse Drug Reactions Journal 2020;22(2):119-120

doi:10.3760/cma.j.issn.1008-5734.2020.02.016

Anaphylactic shock caused by an intravenous infusion of moxifloxacin

Hong MU 1 ; Lili WANG 1 ; Jun LI 1

Affiliations

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Keywords

Quinolones; Moxifloxacin; Anaphylaxis; shock

Country

China

Language

Chinese

Abstract

A 75-year-old female patient received an intravenous infusion of moxifloxacin hydrochloride injection 0.4 g for prevention of infections after lumbar operation. About 10 minutes later, the patient developed sudden general discomfort, wet and cold skin, drenching sweats. Meanwhile her heart rate was 130 beats/min, breath rate was 26 times/min, and blood pressure was 57/37 mmHg. Anaphylactic shock caused by moxifloxacin was considered. Moxifloxacin was stopped immediately, ECG monitoring and oxygen inhalation through nasal catheter were given. Then, intravenous injection of adrenaline hydrochloride injection 0.5 mg, furosemide injection 10 mg, nitroglycerin injection 2.5 mg, and sublingual metoprolol tartrate tablet 12.5 mg were given successively. After 80 minutes, the patient′s symptoms relieved, with heart rate 88 beats/min, breath rate 18 times/min, and blood pressure 95/54 mmHg.